Contract Approval Request Form
To Be Completed by Requesting Department (#1-22)
1) Date of Request: 7/29/2026
2) Contract Type: Revenue
3) Renewal Contract: Yes
4) Department Name: Parks and Cultural Services
5) Department Contact: Martha Lee
6) Description: Interlocal agreement with the City of Galveston to provide congregate meal services for FY27
7) Fund Name and Number: FY27 Congregate Meals - Cost Share, GR-0000872 (Will need to update with FY27 Cost Share)
8) Cost Center: 2921-451110
9) Ledger Account Summary: 4330000
10) Spend Category: Intergovernmental Revenues - Other Agencies
11) Project Worktag (when applicable):
12) Grant Worktag (when applicable):
13) Vendor: City of Galveston
14) Vendor Contract Number: ☐ Yes ☐ No: Click or tap here to enter text.
Expenditure Budget/Revenue Projections
15) Budget Amendment Requested: ☐ Yes ☒ No (if yes, provide BA request details): Click or tap here to enter text.
16) Current Year Budgeted: $50
17) Current Year Projected: $50
18) Year 2:
19) Year 3:
20) Year 4:
21) Year 5:
22) Totals: $50
To Be Completed by Purchasing Department
23) Contract Start Date: 10/1/2026
24) Auto Renewal Contract: No
25) Bid No: N/A
26) Contract End Date: 9/30/2027
27) Contract # Issued by Purchasing Department: SC-0000937
NOTES: HB1295 not required